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使用硫酸铁控制肝脏出血。

Use of ferric sulfate to control hepatic bleeding.

作者信息

Nouri Saeed, Sharif Mohammad Reza

机构信息

Chemical Injuries Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.

Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran.

出版信息

Trauma Mon. 2015 Feb;20(1):e25257. doi: 10.5812/traumamon.25257. Epub 2015 Jan 1.

DOI:10.5812/traumamon.25257
PMID:25825702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4362037/
Abstract

BACKGROUND

Controlling parenchymal hemorrhage, especially in liver parenchyma, despite all the progress in surgical science, is still one of the challenges surgeons face. Therefore, search for an effective method to control hepatic bleeding is an important research priority.

OBJECTIVES

This study attempted to determine the haemostatic effect of ferric sulfate and compare it with the standard method (suturing technique).

MATERIALS AND METHODS

In this animal model study, 60 male Wistar rats were used. An incision (2 cm in length and 1/2 cm in depth) was made on each rat's liver and the hemostasis time was measured using ferric sulfate with different concentrations (5%, 10%, 15%, 25%, and 50%) and then using simple suturing. The liver tissue was assessed for pathological changes.

RESULTS

In all the groups, complete hemostasis occurred. Hemostasis times of different concentrations of ferric sulfate were significantly less than those of the control group (P < 0.001).

CONCLUSIONS

Ferric sulfate was effective in controlling hepatic bleeding in rats.

摘要

背景

尽管外科学取得了诸多进展,但控制实质内出血,尤其是肝实质内出血,仍是外科医生面临的挑战之一。因此,寻找一种有效的控制肝出血的方法是一项重要的研究重点。

目的

本研究试图确定硫酸铁的止血效果,并将其与标准方法(缝合技术)进行比较。

材料与方法

在这项动物模型研究中,使用了60只雄性Wistar大鼠。在每只大鼠的肝脏上做一个切口(长2厘米,深1/2厘米),先用不同浓度(5%、10%、15%、25%和50%)的硫酸铁测量止血时间,然后使用简单缝合测量止血时间。对肝组织进行病理变化评估。

结果

在所有组中均实现了完全止血。不同浓度硫酸铁的止血时间显著短于对照组(P < 0.001)。

结论

硫酸铁在控制大鼠肝出血方面有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e69/4362037/700af6e9595e/traumamon-20-25257-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e69/4362037/b867b72d8dc6/traumamon-20-25257-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e69/4362037/700af6e9595e/traumamon-20-25257-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e69/4362037/b867b72d8dc6/traumamon-20-25257-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e69/4362037/700af6e9595e/traumamon-20-25257-g002.jpg

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本文引用的文献

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Investigating the effect of zinc chloride to control external bleeding in rats.研究氯化锌对控制大鼠外出血的作用。
Nurs Midwifery Stud. 2014 Sep;3(3):e22063. doi: 10.17795/nmsjournal22063. Epub 2014 Sep 20.
2
Ferric chloride-induced murine carotid arterial injury: A model of redox pathology.氯化铁诱导的小鼠颈动脉损伤:一种氧化还原病理学模型。
Redox Biol. 2013 Jan 26;1(1):50-5. doi: 10.1016/j.redox.2012.11.001. eCollection 2013.
3
Efficacy and safety of ferric chloride in controlling hepatic bleeding; an animal model study.
氯化铁控制肝出血的有效性和安全性:一项动物模型研究。
Hepat Mon. 2014 Jun 9;14(6):e18652. doi: 10.5812/hepatmon.18652. eCollection 2014 Jun.
4
Antibacterial effect of a new haemostatic agent on oral microorganisms.一种新型止血剂对口腔微生物的抗菌作用。
J Clin Exp Dent. 2012 Jul 1;4(3):e151-5. doi: 10.4317/jced.50750. eCollection 2012 Jul.
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Protective effect of intermittent clamping of the portal triad in the rat liver on liver ischemia-reperfusion injury.大鼠肝脏门静脉三联体间歇性夹闭对肝缺血再灌注损伤的保护作用。
Hepat Mon. 2011 Jun;11(6):445-51.
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Topical haemostatic agents in liver surgery: do we need them?肝脏外科中局部止血剂的应用:我们需要它们吗?
HPB (Oxford). 2009 Jun;11(4):306-10. doi: 10.1111/j.1477-2574.2009.00065.x.
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Use of topical hemostatic agents during liver resection.肝切除术中局部止血剂的应用。
Dig Surg. 2007;24(4):288-93. doi: 10.1159/000103660. Epub 2007 Jul 27.
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Application of fibrin glue sealant after hepatectomy does not seem justified: results of a randomized study in 300 patients.肝切除术后应用纤维蛋白胶封闭剂似乎并无必要:300例患者的随机研究结果
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Advances and methods in liver surgery: haemostasis.肝脏手术的进展与方法:止血
Eur J Gastroenterol Hepatol. 2005 Apr;17 Suppl 1:S3-12. doi: 10.1097/00042737-200504001-00002.
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The surgical approach to HCC: our progress and results in Japan.肝癌的手术治疗方法:我们在日本的进展与成果。
Liver Transpl. 2004 Feb;10(2 Suppl 1):S46-52. doi: 10.1002/lt.20044.